1018 11th St, Rapid City, SD 57701
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Medicare-certifiedSkilled Nursing
Avantara Saint Cloud
Rapid City, South DakotaMedicare inspection record
About Avantara Saint Cloud
AVANTARA SAINT CLOUD is a for profit - limited liability company nursing home in RAPID CITY, SD with 78 certified beds.
Community at a glance
Capacity
78 residents
Location
Rapid City, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
302 ST CLOUD STREET, Rapid City, South Dakota 57701
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 27, 2026, state inspectors cited 5 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 3 hours 7 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.
Medicare fined Avantara Saint Cloud 2 times in the last three years, $27,723 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 7 minutesBelow the South Dakota average |
| Registered nurse time per resident, per day | 31 minutesBelow the South Dakota average |
| Nursing staff who left in the past year | 57%Above the South Dakota average |
Inspections
14 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 18, 2026 · Complaint investigation · 2 citations
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Residents were harmed, a few residents (level G)Resident RightsFrom a complaintCorrected Apr 14, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintAlready fixed by Mar 6, 2026
January 27, 2026 · Standard inspection · 3 citations
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 10, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 10, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 10, 2026
August 13, 2025 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Aug 5, 2025
July 2, 2025 · Complaint investigation · 1 citation+
Post nurse staffing information every day.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Aug 12, 2025
March 27, 2025 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Mar 26, 2025
November 7, 2024 · Standard inspection · 6 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Dec 22, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Dec 22, 2024Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 22, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 22, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 22, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 22, 2024
Fines and payment denials
2 fines totaling $27,723 in the last three years.
- March 18, 2026Fine: $14,380
- August 13, 2025Fine: $13,343
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Saint Cloud Sd Skilled Nursing Facility, LLC
- Medicare-certified beds
- 78
- Average residents per day
- 72
- Accepts
- Medicare and Medicaid
- First certified
- May 1, 1991
- Part of a chain
- Legacy Healthcare, 95 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435060
Location
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302 ST CLOUD STREETRapid City, SD 57701
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Questions about Avantara Saint Cloud
How did Avantara Saint Cloud do on its last inspection?+
State inspectors visited on January 27, 2026 and cited 5 health deficiencies, 2 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Avantara Saint Cloud?+
Nurses and aides spend 3 hours 7 minutes with each resident per day, including 31 minutes from registered nurses. 57% of nursing staff left over the past year.
Has Avantara Saint Cloud been fined by Medicare?+
Yes. Medicare fined Avantara Saint Cloud 2 times in the last three years, totaling $27,723.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.